# #519 Mild Autonomous Cortisol Secretion

Page: https://stenobird.com/podcast/the-curbsiders-internal-medicine-podcast-743220/519-mild-autonomous-cortisol-secretion
Text version: https://stenobird.com/podcast/the-curbsiders-internal-medicine-podcast-743220/519-mild-autonomous-cortisol-secretion.md
Podcast: [The Curbsiders Internal Medicine Podcast](https://stenobird.com/podcast/the-curbsiders-internal-medicine-podcast-743220)
Published: 2026-03-30T07:00:00+00:00
Episode link: https://audioboom.com/posts/8880315
Audio file: https://pdst.fm/e/arttrk.com/p/ABMA5/clrtpod.com/m/pscrb.fm/rss/p/dts.podtrac.com/redirect.mp3/audioboom.com/posts/8880315.mp3?modified=1780965023&sid=5034728&source=rss
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JSON: https://stenobird.com/v1/public/podcasts/the-curbsiders-internal-medicine-podcast-743220/episodes/519-mild-autonomous-cortisol-secretion
Duration seconds: 4027

## Resource

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos ( @irinabancos ), an internationally renowned adrenal expert! Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Advice for listeners Adrenal incidentaloma Definition (Case 1) Hormonal workup for adrenal incidentalomas Defining mild autonomous cortisol secretion (MACS) Significance and prevalence of MACS Diagnostic testing for MACS Treatment options for MACS (surgery vs. comorbidity management) Post surgical management of MACS (Case 2) Diagnostic testing for adrenal insufficiency (AI) Glucocorticoid withdrawal syndrome management Deciding when patients are able to come off of steroids after AI Outcomes after adrenalectomy in MACS Take home points Credits Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD. Producer, writer, show notes, and CME: Mobeen Ahmad MD Cover art and infographic: Kate Grant MBChb, MRCGP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Irina Bancos MD, MSc Disclosures Dr. Bancos has the following disclosures: Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus. Research grant for investigator initiated research (to institution): Esteve, Recordati Sponsor: Panacea Financial…

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